Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Carol V Crockett, PTA

Individual provider Physical Therapy Assistant · NPI 1205837713

Mrs. Carol V Crockett, PTA is a Physical Therapy Assistant in Lebanon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

521 W Main St
Lebanon, TN 37087
Phone: (615) 444-9400
Fax: (615) 444-9406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 70 (TN)

Record details

NPI number1205837713
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESJanuary 4, 2010

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